Medical Biller: Job Duties, Skills and Salary 2025

What does a Medical Biller do?

A Medical Biller is responsible for processing patient data related to medical services, including billing and payment information.

They generate invoices for services rendered by healthcare providers, submit claims to insurance companies, and follow up on unpaid claims. Medical Billers play a crucial role in the financial operations of healthcare facilities, ensuring that healthcare providers are reimbursed for their services. They must accurately code procedures and diagnoses, verify insurance coverage, and communicate with patients and insurance companies to resolve billing issues. Medical Billers work in various healthcare settings, such as hospitals, clinics, and private practices, and are essential in maintaining the financial health of these institutions.

Their work is critical in ensuring that healthcare providers receive timely payment for services, which in turn allows for the continued delivery of quality patient care.

Medical Biller: Main duties

Medical Billers in the Healthcare field handle essential tasks and contribute significantly to achieving team and organizational goals. Here are some of their primary responsibilities:

Prepare and submit medical claims to insurance companies for reimbursement.
Verify insurance coverage and eligibility for services.
Code medical procedures and diagnoses according to established standards (e.g., ICD-10, CPT).
Generate and send invoices to patients for services not covered by insurance.
Follow up on unpaid claims and work with insurance companies to resolve payment issues.
Communicate with patients to explain billing procedures and answer any questions about their accounts.
Maintain accurate records of patient billing and payment histories.
Ensure compliance with healthcare regulations, privacy laws, and billing standards.

Medical Biller: Key Qualifications

High school diploma or equivalent; some employers may prefer post-secondary education in medical billing or health information management.
Certification as a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) is advantageous.
Knowledge of medical terminology, billing codes (ICD-10, CPT), and insurance procedures.
Proficiency in using medical billing software and electronic health records (EHR) systems.
Strong understanding of healthcare regulations, including HIPAA and insurance policies.

Basic Skills and Requirements for Medical Billers

Excellent attention to detail and accuracy in data entry and coding.
Strong analytical and problem-solving skills to resolve billing issues.
Effective communication skills for interacting with patients, healthcare providers, and insurance companies.
Ability to manage multiple billing accounts and prioritize tasks in a fast-paced environment.
Commitment to maintaining patient confidentiality and adhering to ethical billing practices.

Salary Expectations for Medical Billers

Job	Branch	Avg. US Salary
Medical Biller	Healthcare	43,000 USD

The average salary for a Medical Biller in the U.S. is approximately $43,000 per year and can vary from entry-level to senior positions. Medical Billers may receive a wide range of benefits.

Level	Experience	Avg. Salary per Year
Veteran	20+ years	$53,750
Senior	11+ years	$47,300
Experienced	6-10 years	$43,000
Mid Level	3-5 years	$38,700
Entry Level	0-2 years	$32,250

To explore more detailed salary information, including specific salary estimates in your country, visit the Medical Biller Salary Country Overview.

Career Path for Medical Billers

Medical Billers can advance to senior roles such as Billing Supervisor, Revenue Cycle Manager, or Health Information Manager. With additional education and certification, they may also transition into medical coding, healthcare administration, or financial management roles within healthcare organizations. Continuing education and staying current with changes in healthcare regulations and billing practices are crucial for career advancement.

Medical Biller: Work Environment

Medical Billers typically work in healthcare facilities such as hospitals, clinics, physician offices, and billing companies. The role is primarily office-based and involves working with patient data, billing systems, and insurance claims. Medical Billers often work regular business hours, though some may work evenings or weekends to meet billing deadlines or handle high volumes of claims. The work environment requires strong attention to detail and the ability to manage multiple tasks simultaneously.

Medical Biller: Job Duties, Skills and Salary 2025

Join the healthcare field as a Medical Biller, managing billing processes and ensuring providers receive timely payment for their services.